Clostridium difficile infection in Tasmanian public hospitals 2006-2010

Journal article


Mitchell, Brett G., Ware, C., McGregor, A., Brown, S. and Wells, A.. (2011) Clostridium difficile infection in Tasmanian public hospitals 2006-2010. Healthcare Infection (print version). 16(3), pp. 101 - 106. https://doi.org/10.1071/HI11009
AuthorsMitchell, Brett G., Ware, C., McGregor, A., Brown, S. and Wells, A.
Abstract

Objective: To describe the current epidemiology of Clostridium difficile infection (CDI) in Tasmania

Design, setting and participants: Tasmania undertakes continuous surveillance for CDI at all public hospitals. Data on cases of CDI between 2006 and 2010 were examined. All positive tests occurring within 8 weeks of a previous case, and cases occurring in children less than 2 years old were excluded, consistent with national definitions. Only cases identified at public hospitals were included in the analysis

Main outcome measures: The rate of CDI in Tasmanian hospitals over the study period and the ability to demonstrate the effect of variances in surveillance definitions.

Results: A total of 357 cases of CDI were reported over the study period – a rate of 3.08 per 10 000 patient care days (95%CI 2.90–3.27) or 0.94 per 1000 patient separations (95%CI 0.91–0.98) for hospital-identified cases of CDI. Yearly rates for the period 2006 to 2010 were 2.3, 3.2, 2.8 and 3.9 per 10 000 patient care days, respectively. The overall trend was an increase in cases over the study period. The CDI rate from 2009–10 was significantly higher than that from 2008–09. Of the total cases reported,64% were healthcare-associated, healthcare-facility onset (HCAHFO), equating to a rate of 2.1 per 10 000 patient care days over the 4-year period.

Conclusion: The Tasmanian rate of HCA HFO is increasing, and appears to be greater than that reported by other Australian states, but is less than many northern hemisphere regions, where hypervirulent strains of C. difficile are causing increasing morbidity and mortality. It is difficult to compare reported rates of CDI nationally and internationally owing to inconsistencies in study duration, denominator selection, testing effort and testing methodology. This study demonstrates the need for national standards for CDI testing and reporting.

Year2011
JournalHealthcare Infection (print version)
Journal citation16 (3), pp. 101 - 106
ISSN1835-5617
Digital Object Identifier (DOI)https://doi.org/10.1071/HI11009
Scopus EID2-s2.0-80053431560
Page range101 - 106
Research GroupSchool of Nursing, Midwifery and Paramedicine
Permalink -

https://acuresearchbank.acu.edu.au/item/8qz73/clostridium-difficile-infection-in-tasmanian-public-hospitals-2006-2010

  • 0
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

The construction of a postgraduate student and supervisor support framework: Using stakeholder voices to promote effective postgraduate teaching and learning practice
Anderson, Malcolm, Mitchell, Brett, Northcote, Maria, Williams, Anthony, Petrie, Kevin, de Waal, Kayle, Carton, Janet, McLoughlin, Catherine and Lemke, Gina. (2018) The construction of a postgraduate student and supervisor support framework: Using stakeholder voices to promote effective postgraduate teaching and learning practice. Journal of University Teaching & Learning Practice. 15(2), pp. 1 - 21.
Reducing urinary catheter use: A protocol for a mixed methods evaluation of an electronic reminder system in hospitalised patients in Australia
Fasugba, Oyebola, Cheng, Allen C., Russo, Philip L., Northcote, Maria, Rosebrock, Hannah and Mitchell, Brett G.. (2018) Reducing urinary catheter use: A protocol for a mixed methods evaluation of an electronic reminder system in hospitalised patients in Australia. BMJ Open. 8(5), pp. 1 - 9. https://doi.org/10.1136/bmjopen-2017-020469
A systematic review and meta-analysis of the effectiveness of antiseptics for meatal cleaning in the prevention of catheter associated urinary tract infections
Fasugba, Oyebola, Koerner, Jane, Mitchell, Brett G. and Gardner, Anne. (2017) A systematic review and meta-analysis of the effectiveness of antiseptics for meatal cleaning in the prevention of catheter associated urinary tract infections. Journal of Hospital Infection. 95(3), pp. 233 - 242. https://doi.org/10.1016/j.jhin.2016.10.025
Exploring the context for effective clinical governance in infection control
Halton, Kate, Hall, Lisa, Gardner, Anne, Macbeth, Deborough and Mitchell, Brett G.. (2017) Exploring the context for effective clinical governance in infection control. American Journal of Infection Control. 45(3), pp. 278 - 283. https://doi.org/10.1016/j.ajic.2016.10.022
Systematic review and meta-analysis of the effectiveness of antiseptic agents for meatal cleaning in the prevention of catheter-associated urinary tract infections
Fasugba, O., Koerner, Jane, Mitchell, Brett G. and Gardner, Anne. (2017) Systematic review and meta-analysis of the effectiveness of antiseptic agents for meatal cleaning in the prevention of catheter-associated urinary tract infections. Journal of Hospital Infection. 95(3), pp. 233 - 242. https://doi.org/10.1016/j.jhin.2016.10.025
Five-year antimicrobial resistance patterns of urinary escherichia coli at an Australian tertiary hospital: Time series analyses of prevalence data
Fasugba, Oyebola, Mitchell, Brett G., Mnatzaganian, George, Das, Anindita, Collignon, Peter and Gardner, Anne. (2016) Five-year antimicrobial resistance patterns of urinary escherichia coli at an Australian tertiary hospital: Time series analyses of prevalence data. PLoS ONE. 11(10), pp. 1 - 14. https://doi.org/10.1371/journal.pone.0164306
The use of clinical coding data for the surveillance of healthcare-associated urinary tract infections in Australia
Mitchell, Brett G. and Ferguson, John K.. (2016) The use of clinical coding data for the surveillance of healthcare-associated urinary tract infections in Australia. Infection, Disease and Health. 21(1), pp. 32 - 35. https://doi.org/10.1016/j.idh.2016.03.002
Lifestyle as medicine: Past precepts for present problems
Morton, Darren, Mitchell, Brett, Kent, Lillian, Egger, Garry and Hurlow, Trevor. (2016) Lifestyle as medicine: Past precepts for present problems. Australian Family Physician. 45(4), pp. 248 - 249.
Length of stay and mortality associated with healthcare-associated urinary tract infections: A multi-state model
Mitchell, Brett G., Ferguson, J. K., Anderson, Malcolm, Sear, J. and Barnett, A.. (2016) Length of stay and mortality associated with healthcare-associated urinary tract infections: A multi-state model. Journal of Hospital Infection. https://doi.org/10.1016/j.jhin.2016.01.012
Preventing healthcare-associated infections: the role of surveillance
Mitchell, Brett, Mitchell, Brett, Mitchell, Brett, Mitchell, Brett and Russo, Philip L.. (2015) Preventing healthcare-associated infections: the role of surveillance. Nursing Standard: promoting excellence in nursing care. 29(23), pp. 52 - 58. https://doi.org/10.7748/ns.29.23.52.e9609
Evaluating environment cleanliness using two approaches : A multi-centred Australian study
Mitchell, Brett, Wilson, Fiona and Wells, Anne. (2015) Evaluating environment cleanliness using two approaches : A multi-centred Australian study. Healthcare Infection. 20(4), pp. 95 - 100. https://doi.org/10.1071/HI15009
Ciprofloxacin resistance in community-and hospital-acquired Escherichia coli urinary tract infections: A systematic review and meta-analysis of observational studies
Fasugba, Oyebola, Gardner, Anne, Mitchell, Brett and Mnatzaganian, George. (2015) Ciprofloxacin resistance in community-and hospital-acquired Escherichia coli urinary tract infections: A systematic review and meta-analysis of observational studies. BMC Infectious Diseases. 15(545), pp. 1 - 16. https://doi.org/10.1186/s12879-015-1282-4
Hospital infection control units: Staffing, costs, and priorities
Mitchell, Brett G., Hall, Lisa, MacBeth, Deborough, Gardner, Anne and Halton, Kate. (2015) Hospital infection control units: Staffing, costs, and priorities. American Journal of Infection Control. 43(6), pp. 612 - 616. https://doi.org/10.1016/j.ajic.2015.02.016
Urinary Escherichia coli antimicrobial susceptibility profiles and their relationship with community antibiotic use in Tasmania, Australia
Meumann, Ella, Mitchell, Brett, McGregor, Alistair, McBryde, Emma and Cooley, Louise. (2015) Urinary Escherichia coli antimicrobial susceptibility profiles and their relationship with community antibiotic use in Tasmania, Australia. International Journal of Antimicrobial Agents. 46(4), pp. 389 - 393. https://doi.org/10.1016/j.ijantimicag.2015.05.015
Controlling methicillin-resistant Staphylococcus aureus (MRSA) in a hospital and the role of hydrogen peroxide decontamination : An interrupted time series analysis
Mitchell, Brett, Digney, Wilhelmine, Locket, Phil and Dancer, Stephanie. (2014) Controlling methicillin-resistant Staphylococcus aureus (MRSA) in a hospital and the role of hydrogen peroxide decontamination : An interrupted time series analysis. BMJ Open. 4(4), pp. 1 - 7. https://doi.org/10.1136/bmjopen-2013-004522
Australian graduating nurses' knowledge, intentions and beliefs on infection prevention and control: A cross-sectional study
Mitchell, Brett G., Say, Richard, Wells, Anne, Wilson, Fiona, Cloete, Lindo and Matheson, Lucinda. (2014) Australian graduating nurses' knowledge, intentions and beliefs on infection prevention and control: A cross-sectional study. BMC Nursing. 13(1), pp. 1 - 7. https://doi.org/10.1186/s12912-014-0043-9
Gender differences in effectiveness of the Complete Health Improvement Program (CHIP) lifestyle intervention : An Australasian study
Kent, Lillian, Morton, Darren, Rankin, Paul, Mitchell, Brett, Chang, Ester and Diehl, Hans. (2014) Gender differences in effectiveness of the Complete Health Improvement Program (CHIP) lifestyle intervention : An Australasian study. Health Promotion Journal of Australia. 25(3), pp. 222 - 229. https://doi.org/10.1071/HE14041
The prolongation of length of stay because of clostridium difficile infection
Mitchell, Brett, Gardner, Anne and Hiller, Janet. (2014) The prolongation of length of stay because of clostridium difficile infection. American Journal of Infection Control. 42(2), pp. 164 - 167. https://doi.org/10.1016/j.ajic.2013.07.006
Prior room occupancy increases risk of methicillin-resistant Stphylococcus aureus acquisition
Mitchell, Brett G., Digney, Wilhelmine and Ferguson, John. (2014) Prior room occupancy increases risk of methicillin-resistant Stphylococcus aureus acquisition. Healthcare Infection. 19(4), pp. 135 - 140. https://doi.org/10.1071/HI14023
A major reduction in hospital-onset staphylococcus aureus Bacteremia in Australia - 12 years of progress: An observational study
Mitchell, Brett, Collignon, Peter, McCann, Rebecca, Wilkinson, Irene and Wells, Anne. (2014) A major reduction in hospital-onset staphylococcus aureus Bacteremia in Australia - 12 years of progress: An observational study. Clinical Infectious Diseases. 59(7), pp. 969 - 975. https://doi.org/10.1093/cid/ciu508
A point prevalence cross-sectional study of healthcare-associated urinary tract infections in six Australian hospitals
Gardner, Anne, Mitchell, Brett, Beckingham, Wendy and Fasugba, Oyebola. (2014) A point prevalence cross-sectional study of healthcare-associated urinary tract infections in six Australian hospitals. BMJ Open. 4(7), pp. 1 - 9. https://doi.org/10.1136/bmjopen-2014-005099
Australian graduating nurses' knowledge, intentions and beliefs on infection prevention and control: A cross-sectional study
Mitchell, Brett, Say, Richard, Wells, Anne, Wilson, Fiona, Cloete, LInda and Matheson, Lucinda. (2014) Australian graduating nurses' knowledge, intentions and beliefs on infection prevention and control: A cross-sectional study. BMC Nursing. 13(43), pp. 1 - 7. https://doi.org/10.1186/s12912-014-0043-9
Surveillance to reduce urinary tract infections: the STRUTI project
Bola, Fasugba,, Gardner, Anne, Mitchell, Brett, Beckingham, Wendy and Bennett, Noleen. (2014) Surveillance to reduce urinary tract infections: the STRUTI project. Australian Nursing and Midwifery Journal. 22(3), pp. 34 - 35.
Healthcare associated urinary tract infections : A protocol for a national point prevalence study
Mitchell, Brett, Gardner, Anne, Beckingham, Wendy and Fasugba, Oyebola. (2014) Healthcare associated urinary tract infections : A protocol for a national point prevalence study. Healthcare Infection. 19(1), pp. 26 - 31. https://doi.org/10.1071/HI13037
Addressing the need for an infection prevention and control framework that incorporates the role of surveillance: A discussion paper
Mitchell, Brett and Gardner, Anne. (2014) Addressing the need for an infection prevention and control framework that incorporates the role of surveillance: A discussion paper. Journal of Advanced Nursing. 70(3), pp. 533 - 542. https://doi.org/10.1111/jan.12193
Methods to evaluate environmental cleanliness in healthcare facilities
Mitchell, Brett, Wilson, Fiona, Dancer, Stephanie and McGregor, Alistair. (2013) Methods to evaluate environmental cleanliness in healthcare facilities. Healthcare Infection. https://doi.org/10.1071/HI12047
Mortality and clostridium difficile infection in an Australian setting
Mitchell, Brett, Gardner, Anne and Hiller, Janet. (2013) Mortality and clostridium difficile infection in an Australian setting. Journal of Advanced Nursing. https://doi.org/10.1111/jan.12078
Healthcare associated infection surveillance: Examining influences on reliable and valid data collection and analysis
Mitchell, Brett. (2012) Healthcare associated infection surveillance: Examining influences on reliable and valid data collection and analysis [Thesis]. https://doi.org/10.4226/66/5a962ea8c689a
Mortality and Clostridium difficile infection: a review
Mitchell, Brett G. and Gardner, Anne. (2012) Mortality and Clostridium difficile infection: a review. Antimicrobial Resistance and Infection Control. 1(1). https://doi.org/10.1186/2047-2994-1-20
Healthcare-associated infections: Getting the balance right in safety and quality v. public reporting (Review)
Mitchell, Brett, Gardner, Anne and McGregor, Alistair. (2012) Healthcare-associated infections: Getting the balance right in safety and quality v. public reporting (Review). Australian Health Review. 36(4), pp. 365 - 366. https://doi.org/10.1071/AH11200
Can homemade fit testing solutions be as effective as commercial products?
Mitchell, Brett, Wells, Anne, McGregor, Alistair and McKenzie, Duncan. (2012) Can homemade fit testing solutions be as effective as commercial products? Healthcare Infection. 17(4), pp. 111 - 114. https://doi.org/10.1071/HI12019
The epidemiology of Staphylococcus aureus bacteraemia in Tasmania
Mitchell, Brett, Gardner, Anne and Stewart, Lee. (2012) The epidemiology of Staphylococcus aureus bacteraemia in Tasmania. Healthcare Infection. 17(3), pp. 98 - 103. https://doi.org/10.1071/HI12020
Prolongation of length of stay and Clostridium difficile infection : A review of the methods used to examine length of stay due to healthcare associated infections
Mitchell, Brett and Gardner, Anne. (2012) Prolongation of length of stay and Clostridium difficile infection : A review of the methods used to examine length of stay due to healthcare associated infections. Antimicrobial Resistance and Infection Control. 1(14), pp. 1 - 6. https://doi.org/10.1186/2047-2994-1-14
An increase in community onset Clostridium difficile infection : A population-based study, Tasmania, Australia
Mitchell, Brett, Wilson, Fiona and McGregor, Alistair. (2012) An increase in community onset Clostridium difficile infection : A population-based study, Tasmania, Australia. Healthcare Infection. 17(4), pp. 127 - 132. https://doi.org/10.1071/HI12029
Intimate Partner Violence During Pregnancy and the First Year Postpartum in an Australian Pregnancy Cohort Study
Gartland, D, Hemphill, Sheryl Ann, Hegarty, Kathryn and Brown, S. (2011) Intimate Partner Violence During Pregnancy and the First Year Postpartum in an Australian Pregnancy Cohort Study. Maternal and Child Health Journal. 15(5), pp. 570 - 578. https://doi.org/10.1007/s10995-010-0638-z
A literature review supporting the proposed national Australian definition for Staphylococcus aureus bacteraemia
Mitchell, Brett, Gardner, Anne, Collignon, Peter, Stewart, Lee and Cruickshank, Marilyn. (2010) A literature review supporting the proposed national Australian definition for Staphylococcus aureus bacteraemia. Healthcare Infection. 15(4), pp. 105 - 113. https://doi.org/10.1071/HI10030